Care Home: Lingfield House

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What the care home does well Residents benefit from the continued support of a team of staff who are committed to meeting their needs and who are enthusiastic about the services they provide. It was evident throughout the inspection that staff and management are flexible in their approach and make the most of the resources available to them. The home has systems in place to ensure that residents` care needs are met and that they have access to a range of appropriate professional practitioners. Medication is managed well. Residents have access to a range of socially and educationally appropriate activities and have the opportunity to go on holiday each year and to visit places of interest. What has improved since the last inspection? The home has continued to respond to the changing needs of residents and adapt the support required accordingly. The home has developed excellent links with external practitioners to develop communication tools and behavioural support for residents. Redecoration and refurbishment of the internal environment has continued, with bedrooms and communal areas being upgraded in accordance with resident input. What the care home could do better: The organisation needs to submit an application to the Commission for the registration of a Manager to provide stability to the home. Shortfalls in staff achieving National Vocational Qualifications (NVQ) in Care need to be addressed. The feedback received from stakeholders must be collated and published to demonstrate how the service responds to the views of interested parties in respect of shaping the future of the service. CARE HOME ADULTS 18-65 Lingfield House Lowdells Lane East Grinstead West Sussex RH19 2EA Lead Inspector Lucy Green Key Unannounced Inspection 4th December 2007 09:30 Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lingfield House Address Lowdells Lane East Grinstead West Sussex RH19 2EA 01342 301782 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) ashlinghouse@tiscali.co.uk Alliance Home Care (Learning Disabilities) Limited vacant post Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th August 2006 Brief Description of the Service: Lingfield House is registered to provide personal care for up to six people with learning disabilities. The home is a two-storey detached property situated in a quiet residential area within walking distance of East Grinstead town. Resident accommodation consists of six single bedrooms, one of which has en-suite facilities. Communal areas comprise of a large lounge / dining area, kitchen, bathroom and separate toilet. An attractive garden is situated to the side and rear of the home and limited parking is available at the front. Allied Home Care Limited owns the service. Mr Aslam Dahya is the Responsible Individual on behalf of the company. There is currently no Registered Manager at this service, although a Manager has now been appointed who confirmed that she will be submitting an application for registration with the CSCI. More detailed information about the services provided at Lingfield House, including the range of fees can be found in the home’s Statement of Purpose and Service User Guide - copies of these documents can be obtained directly from the Provider. Latest CSCI inspection reports are on available on request from the home. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Lingfield House are referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection, a review of the home’s Annual Quality Assurance Assessment and an unannounced site visit which lasted three and a half hours on Tuesday 04 December 2007 between the hours of 9:30am and 1pm. The site visit included a partial tour of the premises and an examination of medication, care and staffing records. The Inspector observed the lunchtime meal being served. Throughout the inspection process, the Inspector met with all six of the people living in the home and spent time sitting in the communal areas observing the interaction and care provided to four people. The Inspector spoke individually with the Manager and interviewed two support workers in private. What the service does well: What has improved since the last inspection? The home has continued to respond to the changing needs of residents and adapt the support required accordingly. The home has developed excellent Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 6 links with external practitioners to develop communication tools and behavioural support for residents. Redecoration and refurbishment of the internal environment has continued, with bedrooms and communal areas being upgraded in accordance with resident input. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents benefit from an admission process that ensures their individual needs and aspirations are appropriately assessed prior to moving into the home. Current residents enjoy living with a group of people they know and who they are compatible with. EVIDENCE: The home has not had any admissions since the last inspection and therefore Standard 2 was not re-inspected on this occasion. The last inspection report detailed that the residents at Lingfield House have lived there together for a number of years, with no new admissions. The Manager reported that should a vacancy occur, the home would use the same admissions procedure that has previously been assessed as good. The home’s admission policy includes giving prospective residents the opportunity to visit the home. The Manager confirmed that compatibility with existing residents would be key in the assessment of any new resident. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans include detailed information and guidelines to support individuals, but outcomes would be further improved if they were more strategically used to formulate life goals and develop skills. Residents benefit from support they are consulted about and enables them to take managed risks. EVIDENCE: Through discussion with staff and observation of their practices, it was demonstrated that they have excellent relationships with the people they support and a good understanding of their needs. The Inspector tracked the care for two residents, which included a partial examination of their care plans, activity schedules and a discussion with the Manager. The Inspectors also met with both of these residents during the course of the inspection. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 10 The Manager confirmed that the content and layout of the care was in the process of being changed and showed the Inspector a new template that had been implemented for one resident. The new system of care planning will assist in making care plans more user-friendly and accessible. The information currently in place for the other five residents provides detailed support guidelines about daily care needs, including a range of risk assessments and behavioural support needs. This approach to care planning however, does not demonstrate how the home supports residents to strategically formulate life goals and develop their independence. The information is also not entirely person centred, as some risk assessments and limitations on freedom appear to be written from a generic perspective rather than from the view of the individual. The recently updated care plan however, addressed many of the shortfalls identified above. The Manager explained that after Christmas it would be her personal priority to update all care plans in the new format. She demonstrated a knowledge and understanding of what was necessary to move these documents forward. As this piece of work had already been identified by the home, a requirement has not been made. It will however, be expected that this piece of work is completed in a timely way and evidence of this should be included in the home’s next Annual Quality Assurance Assessment. The home has a system for reviewing residents’ care on a six-monthly basis, although one of the residents was noted to be overdue for their review. The Manager explained that this was due to the management changes at the service, but that reviews were now scheduled to be back on track. It was also evident that where residents’ needs had changed, the home had responded quickly and made the necessary referrals and therefore were not waiting for the review time to take action. Discussion with two residents highlighted that they are fully involved in reviewing their care. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16 & 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from the opportunities to access the local community and to participate educational, social and meaningful activities. Residents are supported to maintain and develop relationships with other people and receive a range of balanced and wholesome food. EVIDENCE: Activity timetables identified that residents have access to a range of social and educational activities that are meaningful to them. The Manager acknowledged that access to external activities would be further increased if there were more staff who were able to drive the house vehicle. That being said, staff are resourceful and make the most of opportunities to take people out, whilst the Manager is looking to recruit more staff who are able to drive. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 12 On the day of the inspection, two residents went swimming with one carer. The other four residents were at home with two staff and the Manager. Three residents chose to spend time in the lounge and facilitated the inspection by showing the Inspector photos, talking about their experiences and giving a tour of the home. The other resident had a lay in and then joined other people in the lounge for lunch. Discussion with one resident provided information that he attends college and also has voluntary employment through Outreach. Another resident told the Inspector that he likes to go swimming, out for long walks and helps in the garden. In order to develop excellent outcomes in this area, the Manager is aware that the home needs to demonstrate how the activities and goal planning are linked to person centred plans of care which support individuals to achieve live goals and maximum independence. The home has a positive approach to enabling residents to maintain contact and relationships with families and friends. There was evidence in the care plans that the home supports residents to meet with and receive visits from their relatives and friends. The Manager and two staff spoken with confirmed that each resident has relatives who are actively involved in their care and it was clear that the home understands the importance of good relationships with other stakeholders. Resident reviews include the opportunity for residents’ relatives/representatives to attend if the resident wishes. Meals at Lingfield House are prepared according to a rotating menu. The menu is drawn up in consultation with residents to reflect the meals they wish to have. The menu is also reflective of individual likes and dislikes and therefore on some days different meals are prepared for different residents. The menu displayed showed that it had been recently updated and included a range of varied and well-balanced meals. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported with their health and personal care needs in a professional and sensitive manner. Residents are protected by the systems in place to manage medication. EVIDENCE: Care plans provided documentary evidence that personal and healthcare needs are being met. It was evident that appropriate referrals are made to external professionals, including GP’s, dentists and opticians. There was evidence for the residents case tracked, that they are regularly weighed and records maintained. Personal care was observed to be being provided in a sensitive and respectful way. The home has not currently introduced health action plans in line with Valuing People. Whilst care plans provide detailed information about health care support, it is required that these action plans are introduced. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 14 Medication systems were assessed by way of a review of records, storage and discussion with the Manager. The medication policy was not inspected on this occasion. Both the administration, recording and storage of medication were judged to be satisfactory and guidelines were found to be in place regarding the use of ‘prn’ medication. The Manager reported that staff undertake medication training with the supplying pharmacy and confirmed that no staff handle medication until they have successfully completed this training. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and visitors to the home benefit from and are protected by, the open culture at Lingfield House. EVIDENCE: The home has a complaints procedure in place, which provides a pictorial version for residents and useful flow chart for staff to follow. A complaints book is in place, however neither the CSCI nor the home have received any complaints about Lingfield House in the last twelve months. The home seeks to operate an open culture where issues are openly discussed and opinions shared. Positive interaction was observed between residents and staff during the inspection. Residents are encouraged to voice their opinions about the things they like and dislike. The home has a number of systems in place to protect residents from abuse. New staff are employed subject to robust recruitment procedures and the necessary checks being undertaken. There are systems for supporting residents’ with their finances which include monies being checked and signed for. The Manager and two staff spoken with demonstrated that they were aware of their responsibilities in respect of protecting vulnerable adults and had completed relevant training. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a safe and comfortable environment that meets their needs, however would look more homely if the soft furnishings in the lounge were replaced. The garden is not safely accessible to all the people living at the home. EVIDENCE: The Inspector undertook a partial tour of the home, which included the communal areas and six bedrooms. The cellar was locked and therefore not viewed. Lingfield House is a spacious and attractive house that is located in a quiet residential area close to East Grinstead town centre. The home has generally been decorated and furnished to a high standard, although the homeliness of the lounge would be improved by the replacement of the soft furnishings. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 17 Resident accommodation comprises of six single bedrooms, one of which has en-suite facilities. The kitchen and large lounge / dining room provide residents with sufficient communal space to meet their needs. Discussion with staff and residents confirmed that residents are fully involved in the decorating of their rooms and communal parts. An attractive garden is situated to the side and rear of the home. Access to the garden is however hindered by an uneven pathway. As at least one of the residents now has mobility needs, it is required that a ramp from the kitchen door is fitted and the pathway is resurfaced to ensure all people can safely access this area. The home was found to be clean, tidy and hygienic at the time of the inspection. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a dedicated and competent team of staff and are protected by the recruitment procedures. Staff have both the skills and support to enable them to perform their roles effectively, although there is a lack of NVQ trained staff due to the organisation not funding this training. EVIDENCE: At the time of the inspection, the atmosphere was observed to be friendly and relaxed and the positive relationships between staff and residents were obvious. The home was staffed by three carers and the Manager at the time of the inspection and this was the usual ratio according to the rota. The Manager explained that there may be occasions where the shifts run with two carers, but that at such times the Manager would work on shift if bank staff could not cover. Discussion with two residents, two staff and the Manager provided feedback that staffing levels were currently adequate for the needs of the Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 19 residents. It was however expressed that it would be useful if more of the staff team could drive the house vehicle. Discussion with the Manager and examination of two staff files identified that staff training is ongoing. There was documentary evidence that new staff members were in the process of completing an induction programme in line with Skills for Care. Staff files also provided evidence of a robust system of recruitment being in place – with all the correct documentation and checks being in situ. Staff confirmed that they have access to a raft of mandatory and specialist training including; fire safety, first aid and adult protection, epilepsy, manual handling and positive communication. The Manager stated that she was currently in the process of drafting a training matrix to ensure that regular refresher training is carried out for all staff. It was a requirement of the last inspection that the home ensure a minimum of 50 of care staff are trained to at least NVQ level 2 in Care. It was disappointing that to discover that the home is still a long way from meeting this target. Discussion with staff and the Manager revealed that whilst staff are willing to undertake this training, Allied Home Care (learning Disabilities) Limited will not fund this training for all staff and hence the take up is low. The organisation is required to find a resolution to this training deficit. The Inspector saw evidence of regular staff meetings being conducted with minutes recorded. Whilst there is a system in place for supervising staff, these formal sessions are currently only occurring every 3-4 months, whereas they should be provided at least every eight weeks. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from the home being run by an experienced and dedicated Manager who ensures that the home is run safely. The organisation has systems in place to self-audit and monitor. EVIDENCE: Since the last inspection, the previous Deputy Manager has been promoted to Manager. At the current time, this individual is not registered with the Commission and it is required that the Organisation submit an application to register a manager for this service. It is pleasing to report that all feedback received from staff and residents was positive about the current management arrangements of the home. The Manager was described by staff as Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 21 “supportive, approachable – she doesn’t mind us asking lots of questions” and “the management of the home is excellent, well organised”. The Manager reported that most of the time she is able to work in a supernumerary capacity, although due to the lack of drivers, she has recently undertaken extra ‘hands on’ work. The home has a system of quality monitoring in place with the Area Manager conducting regular visits in accordance with Regulation 26. There was also evidence that annual satisfaction surveys are sent out to stakeholders, although at the current time the results of these have not been formally collated and published. In information submitted to the CSCI by the Registered Manager on 05 December 2007, it was evident that Lingfield House has various systems in place to ensure the Health and Safety of the home are maintained. Inspector did not have cause to question the way health and safety is maintained and therefore records in respect of health and safety were not inspected on this occasion. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 X 33 3 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 2 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 2 X 2 X X 3 X Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA19 Regulation 12(1) Requirement The Registered person must ensure that each service user has a comprehensive health action plan in place. The Registered person must ensure that the pathway leading to the garden is re-surfaced to provide safe and level access. The Registered person must ensure that at least fifty per cent of care staff (including agency staff) in the home achieve a care NVQ to at least level 2. Previous timescale of 15/12/06 not met. The Registered Person must submit an application for the registration of a Manager. The Registered Person must ensure that feedback from service users and other stakeholders is collated and published to demonstrate how their views shape the future of the service. Timescale for action 01/03/08 2 YA24 23(2)(o) 01/04/08 3 YA35 19(5)(b) 01/03/08 4 5 YA37 YA39 8(1) 24 01/02/08 01/03/08 Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA24 YA36 Good Practice Recommendations It is recommended that the soft furnishings in the lounge are replaced. Formal and recorded supervision sessions must be provided to staff at least once every eight weeks. Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lingfield House DS0000014610.V356826.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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